title: Skeletal muscle chemoreflex and pHi in exercise ventilatory control.
abstract: To determine whether skeletal muscle hydrogen ion mediates ventilatory drive in humans during exercise, 12 healthy subjects performed three bouts of isotonic submaximal quadriceps exercise on each of 2 days in a 1.5-T magnet for 31P-magnetic resonance spectroscopy (31P-MRS). Bilateral lower extremity positive pressure cuffs were inflated to 45 Torr during exercise (BLPPex) or recovery (BLPPrec) in a randomized order to accentuate a muscle chemoreflex. Simultaneous measurements were made of breath-by-breath expired gases and minute ventilation, arterialized venous blood, and by 31P-MRS of the vastus medialis, acquired from the average of 12 radio-frequency pulses at a repetition time of 2.5 s. With BLPPex, end-exercise minute ventilation was higher (53.3 +/- 3.8 vs. 37.3 +/- 2.2 l/min; P < 0.0001), arterialized PCO2 lower (33 +/- 1 vs. 36 +/- 1 Torr; P = 0.0009), and quadriceps intracellular pH (pHi) more acid (6.44 +/- 0.07 vs. 6.62 +/- 0.07; P = 0.004), compared with BLPPrec. Blood lactate was modestly increased with BLPPex but without a change in arterialized pH. For each subject, pHi was linearly related to minute ventilation during exercise but not to arterialized pH. These data suggest that skeletal muscle hydrogen ion contributes to the exercise ventilatory response.
authors.affiliation: Pulmonary and Critical Care Unit, Massachusetts General Hospital, Boston, USA.
authors.forename: D A
authors.initials: DA
authors.lastname: Oelberg
authors.forename: A B
authors.initials: AB
authors.lastname: Evans
authors.forename: M I
authors.initials: MI
authors.lastname: Hrovat
authors.forename: P P
authors.initials: PP
authors.lastname: Pappagianopoulos
authors.forename: S
authors.initials: S
authors.lastname: Patz
authors.forename: D M
authors.initials: DM
authors.lastname: Systrom
mesh_terms: D000328:Adult; D002628:Chemoreceptor Cells / Q000502:physiology*; D015444:Exercise / Q000502:physiology*; D005260:Female; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007424:Intracellular Fluid / Q000378:metabolism* / Q000502:physiology; D009682:Magnetic Resonance Spectroscopy; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000378:metabolism* / Q000502:physiology; D012123:Pulmonary Ventilation / Q000502:physiology*; D012018:Reflex / Q000502:physiology*